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Individual

DR. JACQUELINE R SALAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1017 WEST CULLERTON STREET, CHICAGO, IL 60608
(312) 241-8248
Mailing address
1440 W TAYLOR ST # 2059, CHICAGO, IL 60607-4623
(312) 241-8248

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32703
IL
101YM0800X
Mental Health Counselor
IL
101YP2500X
Professional Counselor
Primary
180.014288
IL

Other

Enumeration date
02/17/2022
Last updated
01/31/2024
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